PA Courts Continue To Scrutinize Real Estate Tax Exemptions ' Evaluating The Key Takeaways From The Denial Of Tower Health's Tax Exemption Bids

JurisdictionPennsylvania,United States
Law FirmBuchanan Ingersoll & Rooney PC
Subject MatterEmployment and HR, Food, Drugs, Healthcare, Life Sciences, Real Estate and Construction, Tax, Employee Benefits & Compensation, Real Estate, Property Taxes
AuthorMs Sydney R. Bierhoff, Stanley J. Parker and John Washlick
Published date02 May 2023

Introduction

On February 10, 2023, the Pennsylvania Commonwealth Court (the "Court") issued four related but distinct opinions (the "Tower Cases") which it is reasonable to expect may be used by local taxing authorities to attempt to challenge the property tax-exempt status of certain Pennsylvania non-profit organizations.1 While the Tower Cases involved non-profit hospitals, the reasoning in these cases equally applies to Pennsylvania non-profit organizations generally. The Tower Cases support the notion that the courts are going to scrutinize the real estate tax exemption of Pennsylvania non-profit organizations, notwithstanding that they may have an open admissions policy, accept payments that don't cover costs of services (such as Medicare and Medicaid reimbursements), and/or be money-losing operations. The Tower Cases, at the very least, put Pennsylvania non-profits on notice of the importance of continuously re-evaluating management fees, executive compensation, and financial assistance policies to ensure compliance with property tax exemption requirements. The Tower Cases serve as a reminder that the Pennsylvania courts continue to scrutinize what qualifies for real estate tax exemption. Therefore, in order to be best positioned to withstand such scrutiny, all non-profits should take the teachings of the Tower Cases into account in making decisions for their own operations.

Background

In 2017, Reading Health System, now known as Tower Health, LLC ("Tower"), purchased several for-profit hospital facilities and related properties in Montgomery and Chester Counties from Community Health Systems, including Brandywine Hospital, Jennersville Hospital, Phoenixville Hospital, and Pottstown Hospital (the "Tower Hospitals").

Tower Health, which is tax-exempt through its status as a nonprofit under 26 U.S.C. ' 501(c)(3), formed the following non-profit LLCs, of which it is the sole member of each, to run each of the Tower Hospitals: Brandywine Hospital, LLC Jennersville Hospital, LLC Phoenixville Hospital, LLC, and Pottstown Hospital, LLC (the "Hospital LLCs").

In October of 2021, we wrote an article discussing the potential implications of a decision by Judge Jeffrey R. Sommer of the Chester County Court of Common Pleas (the "Chester County Trial Court"), rejecting the tax exemption bid of Brandywine Hospital, LLC, Jennersville Hospital, LLC, and Phoenixville Hospital, LLC (collectively, the "Chester Hospitals). The decision came just one week after the Montgomery County Court of Common Pleas ("Montgomery County Trial Court") ruled in favor of Tower Health's bid for Pottstown Hospital's property tax-exempt status.2

As we stated in our first article, Judge Sommer anticipated'and hoped'his decision would be appealed and lead to legislative and judicial evaluation of the current framework for evaluation of tax exemption of non-profit hospitals. The aforementioned cases were ultimately appealed; on February 10, 2023, despite dismissing the appeals in the three cases involving the Chester Hospitals due to procedural errors, the Commonwealth Court agreed with the Chester County Trial Court in its finding that the Chester Hospitals did not qualify for property tax exemption. The Commonwealth Court also reversed the ruling in favor of Pottstown Hospital, thereby denying the property tax exemption bid for each of the Tower Hospitals.

Applicable Law

An entity must qualify as an institution of purely public charity to be eligible for tax exemption, meaning it must: (1) satisfy the constitutional requirements set forth in Hospital Utilization Project v. Commonwealth, 487 A.2d 1306 (Pa. 1985) (the "HUP Test); (2) meet the statutory requirements of the Institutions of Purely Public Charity Act, commonly known as Act 55;3 and (3) act in accordance with additional requirements set forth under the Consolidated County Assessment Law (CCAL), to the extent such requirements are not inconsistent with Act 55.

An entity bears the burden of demonstrating that it satisfies the HUP Test's five...

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